Traditional Indemnity Comprehensive Medical Plan

Our Comprehensive Medical Plan enables the utmost flexibility in choosing the doctor or hospital of your choice with no referrals required.

  • Full benefits for inpatient hospital care for 365 days per benefit period with no deductible.
  • Unlimited outpatient diagnostic benefit.
  • Medical/Surgical benefit at 100 UCR (Usual, Customary & Reasonable) Schedule with a $200 individual deductible.
  • Major Medical benefits up to $1,000,000 with a $500 individual deductible.  Reimbursement at 80% up to $5,000 of eligible expenses, then 100% for the remainder of the calendar year.
  • Prescription drugs covered under the Major Medical benefit and reimbursed at 80% after the deductible.

Forms and Documents

Application
Enrollment Change Form

Plan Summary
PICPA Traditional Benefit Summary

Rates
PICPA BC/BS Traditional Plan Rate Letter